APPLICATION FOR CHILD CARE BENEFITS - Cuyahoga County, Ohio 2026

1. Click ‘Get Form’ to open the APPLICATION FOR CHILD CARE BENEFITS in our editor.
2. Begin by filling out Section I: APPLICANT INFORMATION. Provide your name, marital status, social security number (optional), and contact details. Ensure all information is accurate for eligibility verification.
3. Move to Section II: HOUSEHOLD COMPOSITION. List all household members, including children needing care. Indicate their relationship to you and whether they require child care.
4. In Section III: HOUSEHOLD INCOME INFORMATION, detail all sources of income for each household member. Attach necessary proof of income as specified.
5. Complete Section IV: APPLICANT’S NEED FOR SERVICES by providing employment details and school/training information. Attach relevant documentation to support your claims.
6. For each child needing care, fill out Section V: CHILDREN WHO NEED CHILD CARE. Specify their school details and hours of care required.
7. Finally, review the YOUR RIGHTS AND RESPONSIBILITIES section before signing and dating the application to confirm accuracy and consent.

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